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10/15L2002 06:18 _ 707452841 _ JEAN HUGHES PAGE 01 <br /> aAri 10c nM you <br /> SAN JOAQUIN COUNTYPUBLIC HEALTH SERVICE <br /> CD <br /> 304 EAS WEBTAL HEALTH ER AVENUE,THIRD I FLOOR <br /> BL� <br /> STOCKfON CA"202 <br /> (200)466-340IT 15 2002 <br /> PUBLIC RECORDS RELEASE APPLICATIOW <br /> AP ANT �km RUSINES81" NCY <br /> ADDRESS ® Ll&vct1lva <br /> Ca ` <br /> PHONEjjffiLi <br /> FACa1MILE ` <br /> TENTATIVE*APPOINTMENTOATE l 60 . (® cz I" <br /> so TIME <br /> (101104"pM to 10 of a $tion n I) <br /> • <br /> CHECK sax TO EXPEDITE REQUEST.-x.00 FEE-RIQU 7 1 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> (r FILE ADDRESS THIS vic)a1mb STAFF USE ONLY <br /> PRoaRAM ELEMENTS SEARCH <br /> kloprimb <br /> f <br /> ENVIRONMENTAL HEALTH DIVISION FILES OCT 17 2002 <br /> 16 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT ❑ SOLID WASTE FACILITY <br /> a?HER CLEANUP SiTE(NON-LOP) O FOOD FACiLiTY O $OL10 WASTE VEHICLF <br /> UN�RGROUND TANK(MONITORINGIREMOVAL) ® DOG KENNEL O DAIRY <br /> DOU$WASTE GENERATOR Ci CHICKEN RANCH G PKG TREATMENT PLANT <br /> ❑ THFRED PERMITTED FACILITY 0 MOTELiHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ® TATTOOn=Y PEIRCING ❑ POOVSPA C) LAND USE APPLICATION SiTES <br /> O MEDICAL WASTE FACILITY PUBLIC WATER SYSYEM7 O OTHER(PLEASE SPECIFY ABOVE) ' <br /> 1. List up to ten addresses In the space above. Select the type($)of flies from the list above by checking <br /> the appropriate box(ea). At least one file type MUST be selected. Fax to (2Q2}464.0138 gr mall to the <br /> ees indicated above, <br /> 2. EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ton(10)days sifter receipt of application. The files <br /> will be hold for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A now <br /> application may be submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$09.00 deposit prior to review. <br /> 5. 'TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE TiME <br /> DATE CONFIRMED PHONE FAX INITIAL.$ <br /> REVIEWED YES NO REVIEW DATE <br /> s <br />